Jeremy Dale is a 30-year-old recreational sports enthusiast and likes to play soccer and baseball on his days off from work. He mentions to you, his coworker, that he thinks he might have sprained his ankle over the weekend while playing soccer with some friends. He says it is swollen and very painful today and asks whether you think he should see a doctor or just wait for it to get better.
1.- What might be some good recommendations for you to give Jeremy about his sports injury?
2.- What could you tell him in general about minor sports injuries?
3.- How could he determine whether this is a sprain or a strain?
4.- Should he apply ice and elevate or compress the injured ankle?
5.- Is it too late for that treatment to be helpful?
In: Nursing
In: Nursing
1. Discuss whether the following are strong arguments. If you consider them weak, explain why.
Good argument
2. Identify the unstated premise(s) in each of the following arguments. Evaluate each of the arguments. Does leaving out the premise weaken or change the argument?
1. Identify the conclusion and premises in the argument in this advertisement. Evaluate the argument.
2. What is the objective of this ad? Is the ad effective in meeting its objective? Discuss the strategies, including rhetorical devices and fallacies,
In: Nursing
Based on "Case Study: Fetal Abnormality" and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:
In: Nursing
Patients Profile
Name: |
Patient James |
Age: |
58 years old |
Sex: |
Male |
Nationality: |
Filipino |
Religion: |
Roman Catholic |
Address: |
Quezon City |
Marital Status: |
Single |
Chief Complaints: |
“Sumasakit and dibdib ko. Nawawala pero pabalikbalik. Mga anim na buwan na na ganito and nararamdaman ko” (“Pain on my chest” on and off for the past six months”.) |
Admitting Diagnosis: |
Angina Pectoris |
History of Present Illness
Mr. James is a 58 year old insurance broker who seeks consultation to FUMC due to an episode of "chest pain" that he experienced earlier in the day during a golf game. Although he minimizes the severity of the pain and attributes it to being "out of shape," his wife insisted that he see a physician because he has had similar episodes during the past six months. Mr. James was admitted for treatment and management with the following medications:
1. Aspirin 325 mg q4h PRN
2. Nitro-Patch Patch 2x a day q12h
3. Inderal (Propranolol) 80mg q12h
4. Atorvastatin 20mg OD PO
5. Amlodipine 5mg OD PO
Mr. James describes the pain as being more of a discomfort or heaviness. It is localized to "my breast bone" and does not radiate. Today, following a brief rest, the pain subsided and he returned to his golf game. Previous episodes of the heavy feeling tended to occur following large meals and one occasion, while dancing at a wedding. None of the episodes lasted more than "several minutes."
Although Mr. James did not experience nausea or vomiting today, he notes many episodes in the past of feeling a burning sensation in his chest. He describes the sensation as being "like acid behind my breast bone." This feeling occurs most often late at night when he lays down. Usually he has had a large meal or drank alcohol. The sensation does not radiate.
Patient's perspective: When asked about how he feels about these episodes, he admits to being concerned about his health and longevity, considering his father died at age 52 of "heart problems." He says, business is poor, my kid is always in trouble. "Who’s going to take care of things?"
Past Medical history: Not significant
Past Surgical History: None
Family History: Father died of "heart problems" at the age of 52.
Social History: Mr. James smokes at least 1 pack of cigarettes per day. He drinks 2-3 cocktails per nights to "settle my nerves."
Medications: Vitamins
Allergies: None
Review of systems: No significant problems
Physical Examination
Mr. James is a short, moderately obese man who appears somewhat anxious but is in no apparent distress. He is wearing clean casual shirt/pants. Vital sings: BP right arm 162/94; left arm 160/92. Weight 176lbs; Height 5’7". Respiratory rate is 16/minute. Temperature, 98.4F. Examination of cardiovascular system reveals a regular, apical heart rate of 86/minute. S1 is heard best at the apex; a loud S2 is heard best in the R2ICS and L parasternal border. A questionable S4 is heard at the apex. There are no murmurs or apical prominence. There is no peripheral edema.
Lungs are clear to percussion and auscultation. An indirect hernia is noted in the right inguinal region. The abdomen is examination is negative for abnormalities.
Laboratory Tests:
CBC: WBC = 5,600/mm3, hemoglobin = 15.2g/dL, hematocrit = 45%, platelet count = 320,000/mm3
Chemistries: Glucose 110mg/dL, Blood Urea Nitrogen (BUN) 11mg/dL, Creatinine 0.9mg/dL
Urinalysis: Specific gravity: 1.016; Protein, Glucose, Ketones = negative.
Chest X-ray: Normal
Questions:
1. What are your discharge plan or recommendation to C.D. using
the mnemonic
METHOD
a. M-Medication
b. E-Environment/Exercise
c. T-Treatment
d. H-Health Teaching
e. O-Observation/Out-patient
f. D-Diet
2. Trace the pathophysiology of the disease.
3. Nursing considerations while taking the drug.
4. Make at least 2 nursing care plan based on your assessment that needs to prioritize.
In: Nursing
In: Nursing
Describe, compare and explain health status across local and global populations with special reference to disadvantaged groups
In: Nursing
Explain principles of healthcare improvement
In: Nursing
Rationalise ethically sound decisions incorporating principles of ethical reasoning and codes of conduct
In: Nursing
Many adverse drug reactions occur because of the activity of drugs as inducers and/or inhibitors of key metabolic enzymes such as the cytochrome P450 family. Explain how a drug can be an enzyme inducer and how it is possible for a drug to be both an enzyme inhibitor and an enzyme inducer.
In: Nursing
comapre and contrast between Levine theory of conservation and Roy;s adaptation theory
In: Nursing
In: Nursing
In: Nursing
In: Nursing
Mrs. Walker is an 87 year old widow recently discharged from the hospital following an incident of high blood glucose related to a chronic diagnosis of Type 2 Diabetes. She has returned for a follow up visit with her physician who asked you to join him/her during the examination as part of the health care team. Mrs. Walker lives alone and has a daughter who lives 30 miles away and visits once or twice a week. She no longer drives but does have a church family to help her attend religious events weekly. She tells the health care team that she has been “a little dizzy sometimes” but did read the pamphlet about how to manage her diabetes after she was discharged from the hospital 4 days ago and thinks she is doing “ok”. She brought her medications with her and it was noted during medication reconciliation that she has not taken her blood pressure medication since she was discharged from the hospital. When asked about her medications she answered that she was “not sure if that was the blue one or the big white one”. Her insulin pen is also full although she states that she is injecting herself “at least 4 times a day”.
Answer the following questions fully:
In: Nursing